GLENVIEW SCOTTISH COUNTRY DANCERS
REGISTRATION FORM 2009/2010
NAME(S) ______________________________ ____________________
ADDRESS _____________________________________________________________
CITY _______________________
POSTAL CODE ____________________
TELEPHONE ___________________
E-MAIL ADDRESS ______________________
Glenview Annual Fee $10.00 per person
TOTAL (cheque payable to Glenview Scottish Country Dancers) $ _____________
Occasionally photographs of dance activities are taken and these may be published on the RSCDS Toronto website and/or the Glenview website.
______ I give permission for my photograph to be published on the websites.
______ I do not give permission for my photograph to be published on the websites.
I understand that paid membership to Glenview Scottish Country Dancers carries full voting privileges at all general meetings, including the right to vote for election of officers.
I assume responsibility for any risks incurred by attending group classes or social functions. Neither Glenview Scottish Country Dancers nor Glenview Presbyterian Church will assume liability for any injuries or losses.
SIGNED: ____________________________
DATE: ____________________________
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JUICE DUTY ROSTER. Please indicate the months that you will be available. (Please fully complete this section as it is passed on to the Social Committee who draws up the Juice Duty Roster.)
Nov. Dec. Jan. Feb. Mar. Apr. May
Name(s)_________________________Telephone _________________________
_________________________ _________________________
